US20180326185A1 - Introducer sheaths - Google Patents
Introducer sheaths Download PDFInfo
- Publication number
- US20180326185A1 US20180326185A1 US15/594,400 US201715594400A US2018326185A1 US 20180326185 A1 US20180326185 A1 US 20180326185A1 US 201715594400 A US201715594400 A US 201715594400A US 2018326185 A1 US2018326185 A1 US 2018326185A1
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- US
- United States
- Prior art keywords
- sheath
- rotating element
- lock
- introducer
- introducer sheath
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0097—Catheters; Hollow probes characterised by the hub
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0136—Handles therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0147—Tip steering devices with movable mechanical means, e.g. pull wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
- A61M25/0133—Tip steering devices
- A61M25/0152—Tip steering devices with pre-shaped mechanisms, e.g. pre-shaped stylets or pre-shaped outer tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/06—Body-piercing guide needles or the like
- A61M25/0662—Guide tubes
- A61M25/0668—Guide tubes splittable, tear apart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0041—Catheters; Hollow probes characterised by the form of the tubing pre-formed, e.g. specially adapted to fit with the anatomy of body channels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
- A61M39/02—Access sites
- A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
Definitions
- Introducer sheaths are used to access a vessel to allow a catheter or other device to be inserted into the vessel.
- An introducer sheath may include a sheath hub with a side port and side tube.
- the side port and side tube allow an agent to be delivered through the introducer sheath.
- the side port and side tube also allow a fluid to be aspirated from the introducer sheath.
- the introducer sheath may be used with a dilator and advanced over a guidewire that has been inserted into the vessel.
- the introducer sheath may be rotated to facilitate advancement through the skin and into the vessel.
- the introducer sheath may have a curved tip to facilitate access to a desired part of the anatomy.
- the introducer sheath may be rotated to point the curved tip in a desired direction.
- Rotating the introducer sheath may wrap the side tube around the sheath hub and other parts of the introducer sheath.
- the side tube may need to be manually unwound from the sheath hub and other parts of the introducer sheath.
- the side tube may also become kinked and restrict flow through the side tube.
- an introducer sheath comprises a sheath hub, a fixed housing coupled to the sheath hub, a rotating element rotatably coupled to the fixed housing, a sheath tube fixedly coupled to the rotating element, and a lock coupled to the rotating element.
- the lock is capable of preventing the rotating element and the sheath tube from rotating with respect to the sheath hub.
- a method comprises rotating a sheath tube with respect to a sheath hub, and locking the sheath tube to prevent the sheath tube from rotating with respect to the sheath hub.
- the sheath tube is rotatably coupled to the sheath hub.
- FIGS. 1A-1G show one embodiment of an introducer sheath 1100 .
- FIGS. 1A-1B show side views of introducer sheath 1100 .
- FIG. 1C shows a perspective view of introducer sheath 1100 .
- FIG. 1D shows an exploded perspective view of introducer sheath 1100 .
- FIG. 1E shows an exploded cross-sectional view of introducer sheath 1100 .
- FIG. 1F shows a cross-sectional view of introducer sheath 1100 in an unlocked position.
- FIG. 1G shows a cross-sectional view of introducer sheath 1100 in a locked position.
- FIGS. 2A-2D show one embodiment of a method for using introducer sheath 1100 .
- FIG. 2A shows lock 1150 locked.
- FIG. 2B shows unlocking lock 1150 .
- FIG. 2C shows rotating sheath tube 1140 with respect to sheath hub 1110 .
- FIG. 2D shows locking lock 1150 .
- Introducer sheaths are described having a sheath tube that may be rotated independently with respect to a sheath hub. This prevents a side tube from becoming wrapped around the sheath hub and/or other parts of the introducer sheath. In addition, the sheath tube may be locked in place and prevented from rotating with respect to the sheath hub. This prevents the sheath tube from inadvertently rotating while in use.
- FIGS. 1A-1F show one embodiment of an introducer sheath 1100 .
- FIGS. 1A-1B show side views of introducer sheath 1100 .
- FIG. 1C shows a perspective view of introducer sheath 1100 .
- FIG. 1D shows an exploded perspective view of introducer sheath 1100 .
- FIG. 1E shows an exploded cross-sectional view of introducer sheath 1100 .
- FIG. 1F shows a cross-sectional view of introducer sheath 1100 in an unlocked position.
- FIG. 1G shows a cross-sectional view of introducer sheath 1100 in a locked position.
- Introducer sheath 1100 may include a sheath hub 1110 .
- Sheath hub 1110 may include a proximal portion 1110 p and a distal portion 1110 d .
- Introducer sheath 1100 may have a longitudinal axis 1100 x.
- Sheath hub 1110 may include a main port 1111 and a main lumen 1115 .
- Main port 1111 may provide access to main lumen 1115 .
- Sheath hub 1110 may include a side port 1112 and a side lumen 1116 .
- Side port 1112 may provide access to side lumen 1116 .
- Side port 1112 may be coupled to a side tube 1113 and a stopcock 1114 .
- Side lumen 1116 may be in fluid communication with main lumen 1115 .
- Side lumen 1116 may be connected at an angle to main lumen 1115 , such as at 90 degrees.
- Introducer sheath 1100 may include a fixed housing 1120 , a rotating element 1130 , and a sheath tube 1140 . Introducer sheath 1100 may include a lock 1150 .
- Fixed housing 1120 may include a proximal portion 1120 p and a distal portion 1120 d .
- Fixed housing 1120 may be fixedly coupled to sheath hub 1110 .
- Proximal portion 1120 p of fixed housing 1120 may be coupled to distal portion 1110 d of sheath hub 1110 .
- Fixed housing 1120 may include one or more housing pieces.
- fixed housing 1120 may include a first housing piece 1120 a coupled to a second housing piece 1120 b to form fixed housing 1120 .
- Fixed housing 1120 may be formed separately from sheath hub 1110 .
- one or more pieces of fixed housing 1120 may be formed as a single piece with sheath hub 1110 .
- Rotating element 1130 may include a proximal portion 1130 p , a middle portion 1130 m , and a distal portion 1130 d .
- Rotating element 1130 is rotatably coupled to fixed housing 1120 and thus sheath hub 1110 .
- Rotating element 1130 may include a lumen 1135 .
- Lumen 1135 may have a width that is uniform or varying.
- Lumen 1135 of rotating element 1130 may be in fluid communication with main lumen 1115 of sheath hub 1110 .
- Sheath tube 1140 may include a proximal portion 1140 p and a distal portion 1140 d .
- Sheath tube 1140 may be coupled to rotating element 1130 .
- Proximal portion 1140 p of sheath tube 1140 may be coupled to distal portion 1130 d of rotating element 1130 .
- sheath tube 1140 may be formed as a single piece with rotating element 1130 .
- Sheath tube 1140 may include a lumen 1145 .
- Lumen 1145 of sheath tube 1140 may be in fluid communication with lumen 1135 of rotating element 1130 .
- Sheath tube 1140 may include a curved tip 1149 at distal portion 1140 d.
- Lock 1150 may include a proximal portion 1150 p and a distal portion 1150 d . Lock 1150 may be coupled to rotating element 1130 .
- Fixed housing 1120 may include a bore 1121 .
- Bore 1121 may be substantially cylindrical.
- Bore 1121 may include a collar track 1121 a .
- Collar track 1121 a may be a section of bore 1121 having a larger diameter than a remainder of bore 1121 .
- Collar track 1121 a may form a shoulder 1121 b distal to collar track 1121 a.
- Rotating element 1130 may include a core 1131 .
- Core 1131 may be at proximal portion 1130 p of rotating element 1130 .
- Core 1131 may be substantially cylindrical.
- Core 1131 may have diameters of varying dimensions.
- Core 1131 may include a collar 1131 a .
- Collar 1131 a may be a section of core 1131 having a larger diameter than a remainder of core 1131 .
- collar 1131 a may be formed separately from core 1131 and coupled to core 1131 .
- Bore 1121 is configured to receive core 1131 .
- Core 1131 is configured to rotate inside bore 1121 .
- Collar track 1121 a is configured to receive collar 1131 a .
- Collar 1131 a is configured to rotate inside collar track 1121 a .
- Bore 1121 may support core 1131 both proximally and distally of collar 1131 a .
- bore 1121 may support core 1131 only distally of collar 1131 a.
- Core 1131 may be configured to rotate freely inside bore 1121 .
- Core 1131 may have a smaller diameter than bore 1121 .
- Collar 1131 a may have a smaller diameter than collar track 1121 a , but a larger diameter than a remainder of bore 1121 .
- Shoulder 1121 b may prevent collar 1131 a and thus rotating element 1130 from moving distally.
- a seal 1137 may be coupled to proximal portion 1130 p of rotating element 1130 .
- Seal 1137 may be placed between proximal portion 1130 p of rotating element 1130 and bore 1121 .
- seal 1137 may be placed between proximal portion 1130 p of rotating element 1130 and main lumen 1115 of sheath hub 1110 .
- Shoulder 1121 b may urge proximal portion 1130 p of rotating element 1130 against seal 1137 .
- Rotating element 1130 may include a slide segment 1136 .
- Slide segment 1136 may be at middle portion 1130 m of rotating element 1130 .
- Slide segment 1136 may be formed on an outside surface of rotating element 1130 .
- Slide segment 1136 may have a transverse cross section that is non-circular.
- Slide segment 1136 may have a cross section that is hexagonal.
- slide segment 1136 may have a cross section that is oval, polygonal, star- or gear-shaped, or other suitable shape.
- Lock 1150 may include a slide bore 1156 .
- Slide bore 1156 may be at distal portion 1150 d of lock 1150 .
- Slide bore 1156 may be formed on an inside surface of lock 1150 .
- Slide bore 1156 may have a cross section that is configured to engage slide segment 1136 .
- Slide bore 1156 may have a cross section that is similar to that of slide segment 1136 .
- Slide bore 1156 may have a transverse cross section that is non-circular.
- Slide bore 1156 may have a cross section that is hexagonal.
- slide bore 1156 may have a cross section that is oval, polygonal, star- or gear-shaped, or other suitable shape.
- Slide bore 1156 is configured to receive slide segment 1136 .
- Slide bore 1156 and slide segment 1136 may be configured so that lock 1150 rotates together with rotating element 1130 .
- Slide bore 1156 and slide segment 1136 may have transverse cross sections that are non-circular, which prevent slide segment 1136 from rotating with respect to slide bore 1156 and lock 1150 .
- Slide bore 1156 may have a larger width than slide segment 1136 , but not a width so large as to allow slide segment 1136 to rotate independently inside slide bore 1156 .
- Lock 1150 may be configured to slide along slide segment 1136 through slide bore 1156 .
- Slide segment 1136 may have a longer length than slide bore 1156 .
- Lock 1150 may slide proximally and distally along slide segment 1136 .
- Lock 1150 may be configured to slide freely along slide segment 1136 .
- Slide bore 1156 may have a larger width than slide segment 1156 .
- lock 1150 may be configured to not slide freely along slide segment 1136 .
- Slide bore 1156 may have a width that forms a slight interference fit with slide segment 1156 .
- Fixed housing 1120 may include a first locking surface 1122 , shown in FIGS. 1D-1G .
- First locking surface 1122 may be formed on an outside surface of fixed housing 1120 .
- First locking surface 1122 may have a transverse cross section that is substantially circular.
- First locking surface 1122 may be tapered, having a larger width towards proximal portion 1120 p of fixed housing 1120 and a smaller width towards distal portion 1120 d of fixed housing 1120 .
- First locking surface 1122 may be shaped like a frustum. Alternatively, first locking surface 1122 may have a width that is substantially uniform.
- Lock 1150 may include a second locking surface 1152 shown in FIGS. 1E-1G .
- Second locking surface 1152 may be at proximal portion 1150 p of lock 1150 .
- Second locking surface 1152 may be formed on an inside surface of lock 1150 .
- Second locking surface 1152 may have a shape that is configured to engage first locking surface 1122 of fixed housing 1120 .
- Second locking surface 1152 may have a transverse cross section that is substantially circular.
- Second locking surface 1152 may be shaped like a frustum.
- Second locking surface 1152 may be tapered, having a larger width towards proximal portion 1150 p of lock 1150 and a smaller width towards distal portion 1150 d of lock 1150 .
- second locking surface 1152 may have a width that is substantially uniform.
- Lock 1150 has an unlocked position configured to allow rotating element 1130 and sheath tube 1140 to rotate with respect to sheath hub 1110 , shown in FIG. 1F .
- Lock 1150 may be moved into the unlocked position by sliding lock 1150 in a distal direction until second locking surface 1152 of lock 1150 is not in contact with first locking surface 1122 of fixed housing 1120 .
- Lock 1150 has a locked position configured to prevent rotating element 1130 and sheath tube 1140 from rotating with respect to sheath hub 1110 , shown in FIG. 1G .
- Lock 1150 may be moved into the locked position by sliding lock 1150 in a proximal direction until second locking surface 1152 of lock 1150 comes into contact with first locking surface 1122 of fixed housing 1120 and forms an interference fit with first locking surface 1122 of fixed housing 1120 .
- Lock 1150 and thus rotating element 1130 and sheath tube 1140 are prevented from rotating with respect to fixed housing 1120 and sheath hub 1110 .
- rotating element 1130 may have an angular position that is infinitely adjustable.
- first locking surface 1122 and/or second locking surface 1152 are tapered, the interference fit between first locking surface 1122 and second locking surface 1152 tightens as lock 1150 is moved proximally.
- a grip 1158 may be coupled to lock 1150 .
- Grip 1158 may be coupled around lock 1150 .
- Grip 1158 may be textured to make it easier to manipulate lock 1150 .
- a marker 1159 may be coupled to lock 1150 and/or rotating element 1130 . Marker 1159 may be aligned with curved tip 1149 . Marker 1159 may indicate a direction in which curved tip 1149 is curved or pointed.
- Sheath tube 1140 may be fixedly coupled to rotating element 1130 with a sleeve 1148 .
- Sheath tube 1140 and rotating element 1130 rotate together.
- Sleeve 1148 may be coupled around proximal portion 1140 p of sheath tube 1140 and distal portion 1130 d of rotating element 1130 .
- Distal portion 1130 d of rotating element 1130 may have a smaller width than slide segment 1136 .
- Sleeve 1148 may have a portion that has a larger width than slide bore 1156 , and acts as a distal stop for lock 1150 .
- Introducer sheath 1100 allows sheath tube 1140 to rotate independently with respect to sheath hub 1110 . This allows sheath tube 1140 to be rotated and the position of curved tip 1149 to be changed without having to rotate sheath hub 1110 and side port 1112 . This prevents side tube 1113 from wrapping around sheath hub 1110 and/or other parts of introducer sheath 1100 .
- Introducer sheath 1100 allows sheath tube 1140 to be locked in place, and prevents sheath tube 1140 from rotating with respect to sheath hub 1110 . This prevents sheath tube 1140 from inadvertently rotating while in use, and prevents the position of curved tip 1149 from inadvertently moving while in use.
- sheath hub 1110 without a side port 1112 and/or a sheath tube 1140 without a curved tip 1149 it may still be useful to have a sheath tube 1140 that can be rotated independently of the sheath hub 1110 and locked in place.
- FIGS. 2A-2D show one embodiment of a method for using introducer sheath 1100 .
- FIG. 2A shows lock 1150 locked.
- Lock 1150 has been moved in a proximal direction into the locked position.
- Lock 1150 prevents rotating element 1130 and sheath tube 1140 from rotating with respect to sheath hub 1110 .
- FIG. 2B shows unlocking lock 1150 .
- Lock 1150 is moved in a distal direction into the unlocked position.
- Lock 1150 may be stopped from traveling further distally by sleeve 1148 .
- FIG. 2C shows rotating sheath tube 1140 with respect to sheath hub 1110 .
- Lock 1150 , rotating element 1130 , and sheath tube 1140 rotate together.
- Sheath tube 1140 may be rotated by rotating lock 1150 .
- Sheath tube 150 may also be rotated by rotating sheath tube 1140 and/or sleeve 1148 directly.
- Sheath tube 1140 may be rotated to point curved tip 1149 in a desired direction.
- Marker 1159 may be used to show the direction of curved tip 1149 if curved tip 1149 is hidden from view.
- FIG. 2D shows locking lock 1150 .
- Lock 1150 is moved in a proximal direction into the locked position. Lock 1150 prevents rotating element 1130 and sheath tube 1140 from rotating with respect to sheath hub 1110 .
Abstract
Description
- Introducer sheaths are used to access a vessel to allow a catheter or other device to be inserted into the vessel. An introducer sheath may include a sheath hub with a side port and side tube. The side port and side tube allow an agent to be delivered through the introducer sheath. The side port and side tube also allow a fluid to be aspirated from the introducer sheath.
- The introducer sheath may be used with a dilator and advanced over a guidewire that has been inserted into the vessel. The introducer sheath may be rotated to facilitate advancement through the skin and into the vessel.
- The introducer sheath may have a curved tip to facilitate access to a desired part of the anatomy. The introducer sheath may be rotated to point the curved tip in a desired direction.
- Rotating the introducer sheath may wrap the side tube around the sheath hub and other parts of the introducer sheath. The side tube may need to be manually unwound from the sheath hub and other parts of the introducer sheath. The side tube may also become kinked and restrict flow through the side tube.
- What is needed is an introducer sheath that can be rotated without tangling a side tube around the sheath hub and other parts of the introducer sheath.
- Introducer sheaths are described. In one embodiment, an introducer sheath comprises a sheath hub, a fixed housing coupled to the sheath hub, a rotating element rotatably coupled to the fixed housing, a sheath tube fixedly coupled to the rotating element, and a lock coupled to the rotating element. The lock is capable of preventing the rotating element and the sheath tube from rotating with respect to the sheath hub.
- Methods of using an introducer sheath are described. In one embodiment, a method comprises rotating a sheath tube with respect to a sheath hub, and locking the sheath tube to prevent the sheath tube from rotating with respect to the sheath hub. The sheath tube is rotatably coupled to the sheath hub.
-
FIGS. 1A-1G show one embodiment of an introducer sheath 1100.FIGS. 1A-1B show side views of introducersheath 1100.FIG. 1C shows a perspective view of introducersheath 1100.FIG. 1D shows an exploded perspective view of introducersheath 1100.FIG. 1E shows an exploded cross-sectional view of introducersheath 1100.FIG. 1F shows a cross-sectional view of introducersheath 1100 in an unlocked position.FIG. 1G shows a cross-sectional view of introducersheath 1100 in a locked position. -
FIGS. 2A-2D show one embodiment of a method for using introducer sheath 1100.FIG. 2A shows lock 1150 locked.FIG. 2B shows unlockinglock 1150.FIG. 2C shows rotatingsheath tube 1140 with respect to sheathhub 1110.FIG. 2D showslocking lock 1150. - Introducer sheaths are described having a sheath tube that may be rotated independently with respect to a sheath hub. This prevents a side tube from becoming wrapped around the sheath hub and/or other parts of the introducer sheath. In addition, the sheath tube may be locked in place and prevented from rotating with respect to the sheath hub. This prevents the sheath tube from inadvertently rotating while in use.
-
FIGS. 1A-1F show one embodiment of an introducersheath 1100.FIGS. 1A-1B show side views of introducersheath 1100.FIG. 1C shows a perspective view of introducersheath 1100.FIG. 1D shows an exploded perspective view of introducersheath 1100.FIG. 1E shows an exploded cross-sectional view of introducersheath 1100.FIG. 1F shows a cross-sectional view of introducersheath 1100 in an unlocked position.FIG. 1G shows a cross-sectional view of introducersheath 1100 in a locked position. - Introducer sheath 1100 may include a
sheath hub 1110.Sheath hub 1110 may include aproximal portion 1110 p and a distal portion 1110 d.Introducer sheath 1100 may have alongitudinal axis 1100 x. -
Sheath hub 1110 may include a main port 1111 and amain lumen 1115. Main port 1111 may provide access tomain lumen 1115.Sheath hub 1110 may include aside port 1112 and aside lumen 1116.Side port 1112 may provide access toside lumen 1116.Side port 1112 may be coupled to a side tube 1113 and astopcock 1114.Side lumen 1116 may be in fluid communication withmain lumen 1115.Side lumen 1116 may be connected at an angle tomain lumen 1115, such as at 90 degrees. -
Introducer sheath 1100 may include a fixedhousing 1120, arotating element 1130, and asheath tube 1140.Introducer sheath 1100 may include alock 1150. -
Fixed housing 1120 may include aproximal portion 1120 p and adistal portion 1120 d.Fixed housing 1120 may be fixedly coupled tosheath hub 1110.Proximal portion 1120 p of fixedhousing 1120 may be coupled to distal portion 1110 d ofsheath hub 1110.Fixed housing 1120 may include one or more housing pieces. For example, fixedhousing 1120 may include a first housing piece 1120 a coupled to a second housing piece 1120 b to form fixedhousing 1120.Fixed housing 1120 may be formed separately fromsheath hub 1110. Alternatively, one or more pieces of fixedhousing 1120 may be formed as a single piece withsheath hub 1110. -
Rotating element 1130 may include a proximal portion 1130 p, amiddle portion 1130 m, and adistal portion 1130 d.Rotating element 1130 is rotatably coupled to fixedhousing 1120 and thussheath hub 1110.Rotating element 1130 may include alumen 1135.Lumen 1135 may have a width that is uniform or varying.Lumen 1135 of rotatingelement 1130 may be in fluid communication withmain lumen 1115 ofsheath hub 1110. -
Sheath tube 1140 may include a proximal portion 1140 p and adistal portion 1140 d.Sheath tube 1140 may be coupled to rotatingelement 1130. Proximal portion 1140 p ofsheath tube 1140 may be coupled todistal portion 1130 d ofrotating element 1130. Alternatively,sheath tube 1140 may be formed as a single piece withrotating element 1130.Sheath tube 1140 may include alumen 1145.Lumen 1145 ofsheath tube 1140 may be in fluid communication withlumen 1135 of rotatingelement 1130.Sheath tube 1140 may include acurved tip 1149 atdistal portion 1140 d. -
Lock 1150 may include aproximal portion 1150 p and adistal portion 1150 d.Lock 1150 may be coupled to rotatingelement 1130. -
Fixed housing 1120 may include abore 1121.Bore 1121 may be substantially cylindrical.Bore 1121 may include acollar track 1121 a.Collar track 1121 a may be a section ofbore 1121 having a larger diameter than a remainder ofbore 1121.Collar track 1121 a may form a shoulder 1121 b distal tocollar track 1121 a. -
Rotating element 1130 may include acore 1131.Core 1131 may be at proximal portion 1130 p ofrotating element 1130.Core 1131 may be substantially cylindrical.Core 1131 may have diameters of varying dimensions.Core 1131 may include a collar 1131 a. Collar 1131 a may be a section ofcore 1131 having a larger diameter than a remainder ofcore 1131. Alternatively, collar 1131 a may be formed separately fromcore 1131 and coupled tocore 1131. -
Bore 1121 is configured to receivecore 1131.Core 1131 is configured to rotate insidebore 1121.Collar track 1121 a is configured to receive collar 1131 a. Collar 1131 a is configured to rotate insidecollar track 1121 a.Bore 1121 may supportcore 1131 both proximally and distally of collar 1131 a. Alternatively, bore 1121 may support core 1131 only distally of collar 1131 a. -
Core 1131 may be configured to rotate freely insidebore 1121.Core 1131 may have a smaller diameter thanbore 1121. Collar 1131 a may have a smaller diameter thancollar track 1121 a, but a larger diameter than a remainder ofbore 1121. Shoulder 1121 b may prevent collar 1131 a and thus rotatingelement 1130 from moving distally. - A
seal 1137 may be coupled to proximal portion 1130 p ofrotating element 1130.Seal 1137 may be placed between proximal portion 1130 p ofrotating element 1130 and bore 1121. Alternatively,seal 1137 may be placed between proximal portion 1130 p ofrotating element 1130 andmain lumen 1115 ofsheath hub 1110. Shoulder 1121 b may urge proximal portion 1130 p ofrotating element 1130 againstseal 1137. -
Rotating element 1130 may include aslide segment 1136.Slide segment 1136 may be atmiddle portion 1130 m ofrotating element 1130.Slide segment 1136 may be formed on an outside surface of rotatingelement 1130.Slide segment 1136 may have a transverse cross section that is non-circular.Slide segment 1136 may have a cross section that is hexagonal. Alternatively,slide segment 1136 may have a cross section that is oval, polygonal, star- or gear-shaped, or other suitable shape. -
Lock 1150 may include aslide bore 1156. Slide bore 1156 may be atdistal portion 1150 d oflock 1150. Slide bore 1156 may be formed on an inside surface oflock 1150. Slide bore 1156 may have a cross section that is configured to engageslide segment 1136. Slide bore 1156 may have a cross section that is similar to that ofslide segment 1136. Slide bore 1156 may have a transverse cross section that is non-circular. Slide bore 1156 may have a cross section that is hexagonal. Alternatively, slide bore 1156 may have a cross section that is oval, polygonal, star- or gear-shaped, or other suitable shape. - Slide bore 1156 is configured to receive
slide segment 1136.Slide bore 1156 andslide segment 1136 may be configured so thatlock 1150 rotates together withrotating element 1130.Slide bore 1156 andslide segment 1136 may have transverse cross sections that are non-circular, which preventslide segment 1136 from rotating with respect to slidebore 1156 andlock 1150. Slide bore 1156 may have a larger width thanslide segment 1136, but not a width so large as to allowslide segment 1136 to rotate independently insideslide bore 1156. -
Lock 1150 may be configured to slide alongslide segment 1136 throughslide bore 1156.Slide segment 1136 may have a longer length thanslide bore 1156.Lock 1150 may slide proximally and distally alongslide segment 1136. -
Lock 1150 may be configured to slide freely alongslide segment 1136. Slide bore 1156 may have a larger width thanslide segment 1156. Alternatively,lock 1150 may be configured to not slide freely alongslide segment 1136. Slide bore 1156 may have a width that forms a slight interference fit withslide segment 1156. -
Fixed housing 1120 may include afirst locking surface 1122, shown inFIGS. 1D-1G . First lockingsurface 1122 may be formed on an outside surface of fixedhousing 1120. First lockingsurface 1122 may have a transverse cross section that is substantially circular. First lockingsurface 1122 may be tapered, having a larger width towardsproximal portion 1120 p of fixedhousing 1120 and a smaller width towardsdistal portion 1120 d of fixedhousing 1120. First lockingsurface 1122 may be shaped like a frustum. Alternatively,first locking surface 1122 may have a width that is substantially uniform. -
Lock 1150 may include asecond locking surface 1152 shown inFIGS. 1E-1G .Second locking surface 1152 may be atproximal portion 1150 p oflock 1150.Second locking surface 1152 may be formed on an inside surface oflock 1150.Second locking surface 1152 may have a shape that is configured to engagefirst locking surface 1122 of fixedhousing 1120.Second locking surface 1152 may have a transverse cross section that is substantially circular.Second locking surface 1152 may be shaped like a frustum.Second locking surface 1152 may be tapered, having a larger width towardsproximal portion 1150 p oflock 1150 and a smaller width towardsdistal portion 1150 d oflock 1150. Alternatively,second locking surface 1152 may have a width that is substantially uniform. -
Lock 1150 has an unlocked position configured to allowrotating element 1130 andsheath tube 1140 to rotate with respect tosheath hub 1110, shown inFIG. 1F .Lock 1150 may be moved into the unlocked position by slidinglock 1150 in a distal direction untilsecond locking surface 1152 oflock 1150 is not in contact withfirst locking surface 1122 of fixedhousing 1120. -
Lock 1150 has a locked position configured to preventrotating element 1130 andsheath tube 1140 from rotating with respect tosheath hub 1110, shown inFIG. 1G .Lock 1150 may be moved into the locked position by slidinglock 1150 in a proximal direction untilsecond locking surface 1152 oflock 1150 comes into contact withfirst locking surface 1122 of fixedhousing 1120 and forms an interference fit withfirst locking surface 1122 of fixedhousing 1120.Lock 1150 and thus rotatingelement 1130 andsheath tube 1140 are prevented from rotating with respect to fixedhousing 1120 andsheath hub 1110. - When
first locking surface 1122 andsecond locking surface 1152 have transverse cross sections that are substantially circular, rotatingelement 1130 may have an angular position that is infinitely adjustable. Whenfirst locking surface 1122 and/orsecond locking surface 1152 are tapered, the the interference fit betweenfirst locking surface 1122 andsecond locking surface 1152 tightens aslock 1150 is moved proximally. - A
grip 1158 may be coupled to lock 1150.Grip 1158 may be coupled aroundlock 1150.Grip 1158 may be textured to make it easier to manipulatelock 1150. - A
marker 1159 may be coupled to lock 1150 and/orrotating element 1130.Marker 1159 may be aligned withcurved tip 1149.Marker 1159 may indicate a direction in which curvedtip 1149 is curved or pointed. -
Sheath tube 1140 may be fixedly coupled to rotatingelement 1130 with asleeve 1148.Sheath tube 1140 androtating element 1130 rotate together.Sleeve 1148 may be coupled around proximal portion 1140 p ofsheath tube 1140 anddistal portion 1130 d ofrotating element 1130.Distal portion 1130 d ofrotating element 1130 may have a smaller width thanslide segment 1136.Sleeve 1148 may have a portion that has a larger width thanslide bore 1156, and acts as a distal stop forlock 1150. -
Introducer sheath 1100 allowssheath tube 1140 to rotate independently with respect tosheath hub 1110. This allowssheath tube 1140 to be rotated and the position ofcurved tip 1149 to be changed without having to rotatesheath hub 1110 andside port 1112. This prevents side tube 1113 from wrapping aroundsheath hub 1110 and/or other parts ofintroducer sheath 1100. -
Introducer sheath 1100 allowssheath tube 1140 to be locked in place, and preventssheath tube 1140 from rotating with respect tosheath hub 1110. This preventssheath tube 1140 from inadvertently rotating while in use, and prevents the position ofcurved tip 1149 from inadvertently moving while in use. - For a
sheath hub 1110 without aside port 1112 and/or asheath tube 1140 without acurved tip 1149, it may still be useful to have asheath tube 1140 that can be rotated independently of thesheath hub 1110 and locked in place. -
FIGS. 2A-2D show one embodiment of a method for usingintroducer sheath 1100. -
FIG. 2A showslock 1150 locked.Lock 1150 has been moved in a proximal direction into the locked position.Lock 1150 prevents rotatingelement 1130 andsheath tube 1140 from rotating with respect tosheath hub 1110. -
FIG. 2B shows unlockinglock 1150.Lock 1150 is moved in a distal direction into the unlocked position.Lock 1150 may be stopped from traveling further distally bysleeve 1148. -
FIG. 2C showsrotating sheath tube 1140 with respect tosheath hub 1110.Lock 1150, rotatingelement 1130, andsheath tube 1140 rotate together.Sheath tube 1140 may be rotated by rotatinglock 1150. Sheath tube 150 may also be rotated by rotatingsheath tube 1140 and/orsleeve 1148 directly.Sheath tube 1140 may be rotated to pointcurved tip 1149 in a desired direction.Marker 1159 may be used to show the direction ofcurved tip 1149 ifcurved tip 1149 is hidden from view. -
FIG. 2D shows lockinglock 1150.Lock 1150 is moved in a proximal direction into the locked position.Lock 1150 prevents rotatingelement 1130 andsheath tube 1140 from rotating with respect tosheath hub 1110. - While the foregoing has been with reference to particular embodiments of the invention, it will be appreciated by those skilled in the art that changes in these embodiments may be made without departing from the principles and spirit of the invention.
Claims (20)
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/594,400 US10569058B2 (en) | 2017-05-12 | 2017-05-12 | Introducer sheaths |
EP18798837.3A EP3634276A4 (en) | 2017-05-12 | 2018-05-08 | Introducer sheaths |
PCT/US2018/031692 WO2018208852A1 (en) | 2017-05-12 | 2018-05-08 | Introducer sheaths |
JP2019572050A JP6942383B2 (en) | 2017-05-12 | 2018-05-08 | Introducer sheath |
US16/799,869 US20210038864A1 (en) | 2017-05-12 | 2020-02-25 | Introducer sheaths |
US17/983,243 US20230226316A1 (en) | 2017-05-12 | 2022-11-08 | Introducer sheaths |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/594,400 US10569058B2 (en) | 2017-05-12 | 2017-05-12 | Introducer sheaths |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US16/799,869 Continuation US20210038864A1 (en) | 2017-05-12 | 2020-02-25 | Introducer sheaths |
Publications (2)
Publication Number | Publication Date |
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US20180326185A1 true US20180326185A1 (en) | 2018-11-15 |
US10569058B2 US10569058B2 (en) | 2020-02-25 |
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Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
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US15/594,400 Active US10569058B2 (en) | 2017-05-12 | 2017-05-12 | Introducer sheaths |
US16/799,869 Abandoned US20210038864A1 (en) | 2017-05-12 | 2020-02-25 | Introducer sheaths |
US17/983,243 Pending US20230226316A1 (en) | 2017-05-12 | 2022-11-08 | Introducer sheaths |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
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US16/799,869 Abandoned US20210038864A1 (en) | 2017-05-12 | 2020-02-25 | Introducer sheaths |
US17/983,243 Pending US20230226316A1 (en) | 2017-05-12 | 2022-11-08 | Introducer sheaths |
Country Status (4)
Country | Link |
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US (3) | US10569058B2 (en) |
EP (1) | EP3634276A4 (en) |
JP (1) | JP6942383B2 (en) |
WO (1) | WO2018208852A1 (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2022056352A1 (en) * | 2020-09-14 | 2022-03-17 | Edwards Lifesciences Corporation | Expandable sheath including reverse bayonet locking hub |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20230405269A1 (en) * | 2022-06-21 | 2023-12-21 | St. Jude Medical, Cardiology Division, Inc. | Single-catheter enabled pda access and occluder deployment and recapture |
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-
2017
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-
2018
- 2018-05-08 JP JP2019572050A patent/JP6942383B2/en active Active
- 2018-05-08 WO PCT/US2018/031692 patent/WO2018208852A1/en active Application Filing
- 2018-05-08 EP EP18798837.3A patent/EP3634276A4/en active Pending
-
2020
- 2020-02-25 US US16/799,869 patent/US20210038864A1/en not_active Abandoned
-
2022
- 2022-11-08 US US17/983,243 patent/US20230226316A1/en active Pending
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US5242441A (en) * | 1992-02-24 | 1993-09-07 | Boaz Avitall | Deflectable catheter with rotatable tip electrode |
US5968008A (en) * | 1997-08-04 | 1999-10-19 | Grams; Guenter A. | Cannula with parallel channels and sliding sheath |
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Cited By (1)
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WO2022056352A1 (en) * | 2020-09-14 | 2022-03-17 | Edwards Lifesciences Corporation | Expandable sheath including reverse bayonet locking hub |
Also Published As
Publication number | Publication date |
---|---|
EP3634276A1 (en) | 2020-04-15 |
JP6942383B2 (en) | 2021-09-29 |
WO2018208852A1 (en) | 2018-11-15 |
JP2020519407A (en) | 2020-07-02 |
EP3634276A4 (en) | 2021-03-10 |
US10569058B2 (en) | 2020-02-25 |
US20210038864A1 (en) | 2021-02-11 |
US20230226316A1 (en) | 2023-07-20 |
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